Axillary, Subclavian, and Internal Jugular Venous Valves: A Common Obstacle in PICC and CVC Placement

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Axillary, Subclavian, and Internal Jugular Venous Valves: A Common Obstacle in PICC and CVC Placement

By AVA 2022 Annual Scientific Meeting FEATURING Wayne Teipen

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May 19, 2023

Presentation content includes a brief overview of the history of the discovery of the venous ...
read more ↘ valve, relevant studies supporting the presence, prevalence, and morphology of the typical axillary, subclavian, and internal jugular valves, and discussion of how the presence of these valves are the most common and likely cause of inability to advance PICC's and CVC's more common than the typically attributed reasons of tortuous anatomy and stenosis based on the most current research findings available. Illustrations and ultrasound images will be used as appropriate. The presentation would include discussion and description of how catheters and guidewires interact with the venous valves as well as current strategies we employ to advance catheters past these valves and why those strategies may or may not work. The goal of the presentation is to encourage a more purposeful use of techniques to advance catheters, a call to action for more research and study into the venous valves and effect they have on central line vascular access, as well as inspire and encourage potential innovations in catheter and navigation technology to assist insertions and improve patient outcomes.
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